Active NPI
Joseph Jannuzzi, DPT, SCS
- Physical Therapist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2294 S Riva Ridge Ave
Boise, ID 83709-2507 - Phone
- (208) 949-0568
- NPI assigned
- May 7, 2013
- Last updated
- Jul 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary | |
| Sports Physical Therapist | 2251S0007X | PT-3152 | ID | |
| Orthopedic Physical Therapist | 2251X0800X | PT-3152 | ID |
Addresses
Primary practice location
2294 S Riva Ridge Ave
Boise, ID 83709-2507
Mailing address
2294 S Riva Ridge Ave
Boise, ID 83709-2507
Phone (208) 949-0568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Pkwy Dr
Suite 1
Blackfoot, ID 83221-1667
Phone (208) 785-3446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-3152 | ID | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1441 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600
1441 Parkway Dr
Ste 1
Blackfoot, ID 83221
Phone (208) 785-3446
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Blackfoot, ID
- NPI 1538172648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627084800000",
"number": "1053756882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2294 S RIVA RIDGE AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837092507",
"telephone_number": "208-949-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2294 S RIVA RIDGE AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837092507",
"telephone_number": "208-949-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANNUZZI",
"first_name": "JOSEPH",
"credential": "DPT, SCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-07",
"last_updated": "2021-07-24",
"certification_date": "2021-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "ID",
"license": "PT-3152",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "ID",
"license": "PT-3152",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.